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This is a great thread. I agree there’s far too much ‘trauma policing’ and not enough attention to whether trauma framings provide valuable narratives for suffering people.

The most harmful aspect of psychiatry is not its worldview – that human problems are ‘medical conditions’ – but its authority. The problem is we’ve invested this one narrow perspective on human experience with the boundless authority that we have. *That* is what must be attacked.

It strikes me as extremely poor taste - and far worse, unphilosophical - to try to get in the ‘last word’ before blocking someone. It’s unilateral - a monologue that forbids the possibility of response. It’s precisely what I find detestable about psychiatry as a whole.

I don’t think psychiatry needs to become more inclusive and pluralistic. I think it needs to justify its existence. It’s as if a colonial ruler said “hey everyone, we’re going to be more inclusive and pluralistic in how we run things around here.” No: just don’t exist.

Targeted: For Those Who Hear Voices, the ‘Broken Brain’ Explanation Is Harmful, via Aeon Magazine Justin Garson madinamerica.com/2024/09/target…

Fascinating piece by Justin Garson on the TI community and whether there are ways to find meaning in madness that mean we don't always need to 'give people stigmatising labels and pummel their brains with antipsychotic drugs.' aeon.co/essays/how-the…

Teaching philosophy of madness this semester has forced me to see how deep the exclusion of madness from philosophy is, how constitutive of the enterprise of philosophy, as currently understood, this exclusion is, & how much intellectual/institutional work is needed to change it.

The reason I’m never leaving twitter is you occasionally wake up to psychiatrists speculating about your mental health. The entertainment value here never ends

My earnest philosophical conviction is that psychiatry is based on an error, just as creationism is based on an error. The error is that mental disorders are medical problems. I think that’s literally as false as saying the Earth is 10,000 years old.

The greatest gift of the internet is that people who would’ve been isolated and dismissed as delusional or insane can now find each another and create supportive communities. They don’t have to be locked into the identity of “psychiatric patient.”

Where are these therapists? I need one (Allen Ginsberg reflecting on a therapy session from 1954)

“Don’t take it personally.” I was just thinking about how true this is. It’s like everyone’s living in this bubble of their personal dramas, and when you wander into their bubble, they’re going to cast you into some role. You become a semi-fictional character in their story.

Psychiatry exists to define the boundaries of “good mental health” and classify the ways people deviate from it. That means *I*, the psychiatrist, know exactly what “good mental health” is and when someone fails to conform to it. Unspeakable arrogance.

Has any tweet ever summarized the life of a professor so perfectly?

The way some psychiatrists talk about patients here, it’s like they don’t think their patients are fully human. They may have *compassion* for them, but it’s the compassion you’d have for a wounded animal, not a person who is equal to you.

I think it’s fascinating that depression is literally just your brain’s way of telling you to get out of a bad situation, and we treat it like this demon from hell. How many people have been hurt by being told “oh, you have this terrible disease”?

SSRI antidepressants are known to have thousands of effects on the brain and body. A new understanding of drug dysregulation suggests a different way of managing withdrawal. My interview with @samizdathealth Psychology Today #SSRIs #MedTwitter #psychtwitter psychologytoday.com/us/blog/side-e…

I wrote for Psychology Today about not 1 but *2* philosophy of madness conferences coming up this fall, and how they are changing what it means to do philosophy. (Really excited to be participating in the first next week at Oxford.) Paul Lodge Wouter Kusters psychologytoday.com/us/blog/the-bi…

I often feel that psychiatry is in the middle ages and we’ll look back at it like “what the fuck were we thinking?” Like the idea that depression is a disease to be treated, not your brain trying to communicate essential truths to you, will strike future generations as primitive.

I was hospitalized for six weeks for depression and not *once* was my depression treated as a signal that something in my life was seriously wrong. When it wasn’t seen as a brain defect, it was seen as an irrational phase of adolescence. And this is still the norm for psychiatry.